Round 2 Recompete Competitive Bidding Areas Fact Sheet
Transcription
Round 2 Recompete Competitive Bidding Areas Fact Sheet
Facts About the Durable Medical Equipment, Prosthetics, Orthotics, and Supplies DMEPOS Competitive Bidding Program • Round 2 Recompete and the National Mail-Order Recompete Competitive Bidding Areas (CBA) Round 2 Recompete and the National Mail-Order Recompete Metropolitan statistical areas (MSAs) are areas designated by the Office of Management and Budget (OMB) that include major cities and the suburban areas surrounding them. As a result of the OMB’s updates to the original 91 Round 2 MSAs°, there are now 90 MSAs for the Round 2 Recompete. However, CMS is conducting the Round 2 Recompete in the same geographic areas that were included in Round 2. ° The Poughkeepsie-Newburgh-Middletown, NY MSA is now consolidated into the New York-Northern New JerseyLong Island, NY-NJ-PA MSA. The Poughkeepsie-Newburgh-Middletown, NY CBA is now one of seven CBAs in the New York-Northern New Jersey-Long Island, NY-NJ-PA MSA (see Table 2). Table 1: List of 90 MSAs for the Round 2 Recompete West Midwest 1. Albuquerque, NM 2. Bakersfield, CA* 3. Boise City, ID* 4. Colorado Springs, CO 5. Denver-Aurora-Lakewood, CO* 6. Fresno, CA 7. Las Vegas-Henderson-Paradise, NV* 8. Los Angeles-Long Beach-Anaheim, CA* 9. Oxnard-Thousand Oaks-Ventura, CA 10. Phoenix-Mesa-Scottsdale, AZ* 11. Portland-Vancouver-Hillsboro, OR-WA 12. Sacramento--Roseville--Arden-Arcade, CA* 13. Salt Lake City, UT 14. San Diego-Carlsbad, CA* 15. San Francisco-Oakland-Hayward, CA* 16. San Jose-Sunnyvale-Santa Clara, CA 17. Seattle-Tacoma-Bellevue, WA 18. Stockton-Lodi, CA* 19. Tucson, AZ 20. Urban Honolulu, HI* 21. Visalia-Porterville, CA 22. Akron, OH 23. Chicago-Naperville-Elgin, IL-IN-WI* 24. Columbus, OH 25. Dayton, OH 26. Detroit-Warren-Dearborn, MI* 27. Flint, MI 28. Grand Rapids-Wyoming, MI 29. Huntington-Ashland, WV-KY-OH 30. Indianapolis-Carmel-Anderson, IN* 31. Milwaukee-Waukesha-West Allis, WI 32. Minneapolis-St. Paul-Bloomington, MN-WI 33. Omaha-Council Bluffs, NE-IA 34. St. Louis, MO-IL 35. Toledo, OH 36. Wichita, KS 37. Youngstown-Warren-Boardman, OH-PA South Northeast 38. Asheville, NC 39. Atlanta-Sandy Springs-Roswell, GA* 40. Augusta-Richmond County, GA-SC 41. Austin-Round Rock, TX* 42. Baltimore-Columbia-Towson, MD* 43. Baton Rouge, LA 44. Beaumont-Port Arthur, TX 45. Birmingham-Hoover, AL 76. Albany-Schenectady-Troy, NY 77. Allentown-Bethlehem-Easton, PA-NJ 78. Boston-Cambridge-Newton, MA-NH* 79. Bridgeport-Stamford-Norwalk, CT 80. Buffalo-Cheektowaga-Niagara Falls, NY* 81. Hartford-West Hartford-East Hartford, CT 82. New Haven-Milford, CT 83. New York-Newark-Jersey City, NY-NJ-PA* DMEPOS Competitive Bidding Program July 2014 - continued from pg. 1 - South Northeast 46. Cape Coral-Fort Myers, FL 47. Charleston-North Charleston, SC* 48. Chattanooga, TN-GA 49. Columbia, SC 50. Deltona-Daytona Beach-Ormond Beach, FL 51. El Paso, TX 52. Greensboro-High Point, NC 53. Greenville-Anderson-Mauldin, SC* 54. Houston-The Woodlands-Sugar Land, TX* 55. Jackson, MS 56. Jacksonville, FL 57. Knoxville, TN 58. Lakeland-Winter Haven, FL 59. Little Rock-North Little Rock-Conway, AR 60. Louisville/Jefferson County, KY-IN 61. McAllen-Edinburg-Mission, TX 62. Memphis, TN-MS-AR 63. Nashville-Davidson--Murfreesboro--Franklin, TN 64. New Orleans-Metairie, LA* 65. North Port-Sarasota-Bradenton, FL* 66. Ocala, FL 67. Oklahoma City, OK 68. Palm Bay-Melbourne-Titusville, FL 69. Raleigh, NC* 70. Richmond, VA 71. San Antonio-New Braunfels, TX 72. Tampa-St. Petersburg-Clearwater, FL 73. Tulsa, OK 74. Virginia Beach-Norfolk-Newport News, VA-NC 75. Washington-Arlington-Alexandria, DC-VA-MD-WV 84. Philadelphia-Camden-Wilmington, PA-NJ-DE-MD 85. Providence-Warwick, RI-MA* 86. Rochester, NY 87. Scranton--Wilkes-Barre--Hazleton, PA* 88. Springfield, MA 89. Syracuse, NY 90. Worcester, MA-CT* * MSA names changed due to updates by the Office of Management and Budget (OMB), February 2013 The competitive bidding areas (CBAs) within these MSAs are identified by counties and ZIP codes. The CBA is the area wherein only contract suppliers may furnish competitively bid items to beneficiaries unless an exception is permitted by regulations. Most Round 2 Recompete MSAs have one CBA. However, the three largest MSAs (Chicago, Los Angeles, and New York) are subdivided into multiple CBAs, and CBAs in multi-state MSAs have been defined so that there are no multi-state CBAs. Table 2: List of MSAs with more than one CBA Augusta-Richmond County, GA-SC Boston-CambridgeNewton, MA-NH Chattanooga, TN-GA • Aiken & Edgefield Counties, SC • Augusta-Richmond County, GA • Boston-Cambridge• Catoosa, Dade & Quincy, MA Walker Counties, GA • Rockingham & • Chattanooga, TN Strafford Counties, NH Chicago-Naperville-Elgin, IL-IN-WI • Aurora-Elgin-Joliet, IL • Chicago-NapervilleArlington Heights, IL • Gary, IN • Kenosha County, WI • Lake & McHenry Counties, IL - continued pg. 3 Competitive Bidding Areas - continued pg. 3 - Bidding Program DMEPOS Competitive July 2014 2 - continued from pg. 2 - Los Angeles-Long Beach-Anaheim, CA Louisville/Jefferson County, KY-IN • Los Angeles County, CA • Orange County, CA • Jefferson-New Albany, IN • Louisville-Jefferson County, KY New York-NewarkOmaha-Council Bluffs, Jersey City, NY-NJ-PA NE-IA • Bronx-Manhattan, NY • Council Bluffs, IA • Elizabeth-Lakewood- • Omaha, NE New Brunswick, NJ • Jersey City-Newark, NJ • Nassau, Kings, Queens & Richmond Counties, NY • Port Chester-White Plains- Yonkers, NY • PoughkeepsieNewburghMiddletown, NY • Suffolk County, NY Providence-Warwick, RI-MA St. Louis, MO-IL • Bristol County, MA • Providence, RI • East St. Louis, IL • St. Louis, MO Memphis, TN-MS-AR • Memphis, TN • South Haven-Olive Branch, MS Minneapolis-St. PaulBloomington, MN-WI • Minneapolis-St. PaulBloomington, MN • Pierce & St. Croix Counties, WI Philadelphia-CamdenWilmington, PA-NJ-DEMD Portland-VancouverHillsboro, OR-WA • Camden, NJ • Philadelphia, PA • Wilmington, DE • Portland-HillsboroBeaverton, OR • Vancouver, WA Washington-ArlingtonAlexandria, DC-VA-MDWV Youngstown-WarrenBoardman, OH-PA • Arlington-AlexandriaReston, VA • Calvert, Charles & Prince George’s Counties, MD • Silver Spring-RockvilleBethesda, MD • Washington, DC • Mercer County, PA • Youngstown-WarrenBoardman, OH The Round 2 Recompete CBAs have nearly the same ZIP codes as the Round 2 CBAs. However, certain ZIP codes have changed since Round 2, and we have updated the CBAs to reflect the changes. For example, if a ZIP code within a CBA was split into two new ZIP codes, we included both new ZIP codes in that CBA. Also, if a ZIP code was deleted (no longer valid with the United States Postal Service) from an area, we removed that ZIP code from the CBA. A list of the ZIP codes included in each CBA is also available on the Competitive Bidding Implementation Contractor (CBIC) website at www.dmecompetitivebid.com. National Mail-Order Recompete The national mail-order recompete CBA includes all ZIP codes in all parts of the United States, including the 50 states, the District of Columbia, Puerto Rico, the U.S. Virgin Islands, Guam, and American Samoa. Competitive Bidding Areas DMEPOS Competitive Bidding Program July 2014 3